Which items constitute indications for mobilization?

• A. Pain, Asymmetry, ROM, Tissue change, Symptom reproduction
• B. Pain alone
• C. Asymmetry only
• D. ROM only

Answer: (A)

Mobilization is considered when there are signs that a joint or soft tissues have a mechanical restriction that could improve with controlled movement. The presence of pain, noticeable asymmetry, limited range of motion, tissue changes (such as swelling or muscle tension), and reproduction of symptoms during movement together indicate a mechanical issue that may respond to mobilization. Relying on a single factor—pain alone, asymmetry alone, or ROM alone—doesn't capture the full clinical picture and isn’t sufficient to justify mobilization. When several signs are present, it suggests a mechanical contribution that mobilization can address, and symptom reproduction during testing helps tailor the approach safely.